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Protocol for a randomized controlled trial: efficacy and mechanisms of dual-target anodal tDCS in post-stroke cognitive impairment

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机构: [1]Shanghai Univ Tradit Chinese Med, Yueyang Hosp Integrated Tradit Chinese & Western M, Dept Rehabil Med, Shanghai, Peoples R China [2]Shanghai Univ Tradit Chinese Med, Sch Rehabil Sci, Shanghai, Peoples R China [3]Shanghai Jiao Tong Univ, Tongren Hosp, Rehabil Ctr, Sch Med, Shanghai, Peoples R China [4]Shanghai Jiao Tong Univ, Tongren Hosp, Inst Med Robot,Sch Med, Shanghai Key Lab Flexible Med Robot, Shanghai, Peoples R China [5]Shanghai Jiao Tong Univ, Sch Med, Yuanshen Rehabil Inst, Shanghai, Peoples R China
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关键词: post-stroke cognitive impairment transcranial direct current stimulation dual-target stimulation dorsolateral prefrontal cortex angular gyrus functional near-infrared spectroscopy

摘要:
Background Post-stroke cognitive impairment (PSCI) significantly hinders functional recovery and quality of life in stroke survivors. Although transcranial direct current stimulation (tDCS) has emerged as a promising non-invasive neuromodulation technique to improve cognitive function, conventional single-target tDCS approaches often yield inconsistent outcomes across cognitive domains.Methods This randomized controlled trial aims to investigate the efficacy and underlying neural mechanisms of dual-target anodal tDCS (a-tDCS) in individuals with PSCI. Sixty participants will be randomly assigned to either a dual-target stimulation group or a single-target stimulation group. Each group will receive 10 sessions of tDCS over two weeks. Cognitive performance will be assessed using the Montreal Cognitive Assessment (MoCA) as the primary outcome, while secondary outcomes include the digit span test, Trail Making Test, and modified Barthel Index. Functional near-infrared spectroscopy (fNIRS) will be used to assess cortical activation and functional connectivity before and after the intervention.Discussion The findings are expected to provide evidence on the efficacy and underlying mechanisms of dual-target tDCS in PSCI rehabilitation, potentially offering a more effective neuromodulatory intervention strategy for cognitive recovery in stroke survivors.Clinical trial registration http://www.chictr.org.cn, identifier ChiCTR2500096896.

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出版当年[2025]版:
大类 | 4 区 医学
小类 | 3 区 心理学 4 区 神经科学
最新[2025]版:
大类 | 4 区 医学
小类 | 3 区 心理学 4 区 神经科学
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出版当年[2023]版:
Q2 PSYCHOLOGY Q3 NEUROSCIENCES
最新[2024]版:
Q2 PSYCHOLOGY Q3 NEUROSCIENCES

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第一作者机构: [1]Shanghai Univ Tradit Chinese Med, Yueyang Hosp Integrated Tradit Chinese & Western M, Dept Rehabil Med, Shanghai, Peoples R China [2]Shanghai Univ Tradit Chinese Med, Sch Rehabil Sci, Shanghai, Peoples R China
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通讯机构: [3]Shanghai Jiao Tong Univ, Tongren Hosp, Rehabil Ctr, Sch Med, Shanghai, Peoples R China [4]Shanghai Jiao Tong Univ, Tongren Hosp, Inst Med Robot,Sch Med, Shanghai Key Lab Flexible Med Robot, Shanghai, Peoples R China [5]Shanghai Jiao Tong Univ, Sch Med, Yuanshen Rehabil Inst, Shanghai, Peoples R China
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